Wilkes, John David

Wilkes, John David is an individual health care provider with primary practice located at 400 Medical Plz Suite 100, Lake St Louis MO 63367-1490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wilkes, John David can be contacted via phone (636) 639-8600.

Contact Information

Primary practice address
400 Medical Plz Suite 100 Lake St Louis MO 63367-1490
Phone: (636) 639-8600
Fax: (636) 639-8676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R7J99 Missouri

Profile Details

NPI number 1023071347
LBN Legal business name Wilkes, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Sep 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023071347 NPPES
Missouri MEDICAID 208002113
Missouri Other 57015
Missouri Other 273988
Missouri Other 4676254
Missouri Other 6198
Missouri Other 6198
Missouri Other 3609028
Missouri Other 900002001

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